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Abstract Background: Trigger finger, also known as stenosing tenosynovitis, is a common disorder characterized by catching, snapping, or locking of the involved finger that leads to limitation of finger range of motion, pain, and difficulty gripping objects. Aim of the Work: To compare open versus percutaneous trigger finger release regarding the clinical outcomes, complications and recurrence rate. Patients and Methods: This study investigated the outcomes of open versus percutaneous release for the treatment of trigger thumb. The results showed that both techniques resulted in different therapeutic efficacy when the rate of recurrence and patient satisfaction were considered as primary outcome measures. Besides having different therapeutic efficacy, the rate of potential complications was also statistically different in each group. Results: Both techniques resulted in different therapeutic efficacy when the rate of recurrence and patient satisfaction were considered as primary outcome measures. Besides having different therapeutic efficacy, the rate of potential complications was also statistically different in each group. Conclusion: According to this study; trigger finger can be successfully managed by either open or percutaneous release especially in terms of pain, function, return to work and patient satisfaction . However, percuaneous release offers advantages of shorter duration and less severity of postoperative pain, quicker return to work and better cosmotic. |